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IERMITTEE NAMEIADDRESS17..6&FwWryNw?L wia cIDlQwwu) <br />NAME <br />ADDRESS Las, <br />IERSET CO <br />FACILITY •'.IBDRN CRK & ELK CRK MINE <br />LOCATION i-IERSET CO <br />:aMFS T C.nnPFR. FXF(' V P <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM- JNPOES) <br />DISCHARGE MONITORING REPORT /DMR) <br />PERMIT NUMBER DISCHARGE NLOASER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 20404004 <br />MINOR ' <br />(SUBR MH) <br />' <br />F - FINAL <br />SEDIiIENT POND TO GUNIS <br />ELK CREEK <br />X' <br />NOTE: Read Irtetructiom before complet" the form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE r x-:r a <br /> MEASUREMENT <br />- PERMIT REPORT <br />.1 <br />; REQUIREMENT INST MAX MONTH <br />. <br />_ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' «rtity under pen. ty o I.? tn.I this document and all allachmrnu were - <br />TELEPHONE <br />vl <br />{ <br />ti <br />I <br />ith <br />l <br />i <br />DATE <br />on or wper <br />f <br />. sys <br />prepared under my direc <br />on <br />n stcordance w <br />ern des <br />gned <br />M <br />l <br />at qua <br />Aed personnel progeny Cattle, and evaluate the Information _ <br />/. i 10 ssenet <br />fabmitced. lased on my Ir q.1r7 of the person a person who marine the syftern, <br />i _ <br />albl <br />Ih <br />tl <br />e <br />F <br />therin <br />Informatio <br />th <br />f <br />di <br />th <br />I <br />• <br />aar pmom <br />rec <br />y r <br />spori <br />e <br />or ga <br />g <br />e <br />n, <br />or <br />e <br />n <br />ormation - ? <br />;, <br />t <br />k <br />wkd <br />f <br />f <br />/• <br />- _ f <br />no <br />-- <br />_ submitted Is, to the bes <br />o <br />my <br />le and belt!, true, accurstt. and complete. <br />A SIGNATURE OF PRINCIPAL EXECUTIVE <br />i <br />ndfIrsm <br />l <br />l <br />f <br />b <br />itti <br />l <br />I <br />th <br />h <br />f <br />I <br />f <br /> em art s <br />g <br />ptna <br />am own" <br />at t <br />l <br />tl <br />or fu <br />m <br />nE <br />a <br />fe <br />n <br />ormation, ARE <br /> <br />TYPED OR PRINTED <br />Includin the podbilly of Ant and Impriwnmrnt for knowtn violatiorm <br />OFFICER OR AUTHORIZED AGENT l <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANAI IUN Ur AM T vluL.n I tuna frrererence off arracnmanra norm <br />'FABLE SOLIDS LMT APPLIED FOR =IOYR, rr4HA PRF(7!P r-VENT. <br />EVENT-SEE <br />PAGE OF <br />EPA Form 3320-1 (Rev- 3/99) Previous editions may be used ii 'a 4-part form.